Emergent placement of a temporary TV pacer is a life-saving procedure. We review the procedure along with some pearls along the way.
Core EM - Emergency Medicine Podcast Podcast 25.0 – Temporary Transvenous Pacemakers
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Dec 7, 2015 Learn the life-saving technique of placing temporary transvenous pacemakers. Discover essential tips and tricks that make the procedure smoother and more efficient. The discussion highlights key indications and equipment needed for success. Get insights into being well-prepared to navigate the challenges during an emergency. This is a must-listen for anyone involved in emergency medicine!
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When To Place TV Pacemaker
- Place temporary transvenous pacemakers in patients with symptomatic high-degree AV blocks or signs of hypoperfusion.
- Also consider if there's a risk of complete heart block or no available operator in hospital.
Avoid Prolonged Transcutaneous Pacing
- Avoid prolonged use of transcutaneous pacing due to poor capture and patient discomfort.
- Instead, opt for temporary transvenous pacemakers to improve hemodynamics and comfort.
Equipment and Site Selection
- Use a smaller 5 or 6 French catheter introducer for pacing wire to avoid leaks.
- Choose right IJ or left subclavian sites for catheter placement for the straightest wire path.
